Efficacy and Safety Study of Isuzinaxib in Subjects With DKD

NCT ID: NCT06962098

Last Updated: 2025-07-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

186 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-26

Study Completion Date

2028-06-30

Brief Summary

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This study is a multicenter, double-blinded, randomized, placebo-controlled, dose-ranging study to evaluate the safety, tolerability, PK, and efficacy of Isuzinaxib compared with placebo in subjects with DKD.

Detailed Description

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Conditions

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Diabetic Kidney Disease (DKD)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Isuzinaxib 400 mg

Subject will receive the 400 mg of Isuzinaxib.

Group Type ACTIVE_COMPARATOR

Isuzinaxib

Intervention Type DRUG

Oral dosing regimen once daily

Isuzinaxib 200 mg

Subject will receive the 200 mg of Isuzinaxib.

Group Type ACTIVE_COMPARATOR

Isuzinaxib

Intervention Type DRUG

Oral dosing regimen once daily

Placebo

Subject will receive the Placebo.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Oral dosing regimen once daily

Interventions

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Isuzinaxib

Oral dosing regimen once daily

Intervention Type DRUG

Placebo

Oral dosing regimen once daily

Intervention Type DRUG

Other Intervention Names

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APX-115

Eligibility Criteria

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Inclusion Criteria

1. Male/female subject aged ≥19 years inclusive at the time of informed consent.
2. Clinical diagnosis of type 2 diabetes and DKD.
3. 18.5 kg/m² \< body mass index \< 35 kg/m².
4. Stable UACR values prior to screening visit.
5. UACR between 200 and 3000 mg/g.
6. Hemoglobin A1c ≤10% at Screening Visit.
7. Subject who has been taking unchanged dosage of angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blockers (ARB) medication.
8. Subject who has been on stable anti-hyperglycemic prior to screening.
9. Females of childbearing potential/sexually active males with a partner of childbearing potential: commitment to consistently and correctly use an acceptable method of birth control.
10. Willing to be under dietary management for diabetes.
11. Willing to comply with all study procedures and availability for the duration of the study.
12. Capable of understanding the content of and able voluntarily to provide a signed and dated written informed consent form (ICF) prior to any study procedures.

Exclusion Criteria

1. History of type 1 diabetes mellitus or gestational diabetes.
2. Subject's renal impairment and/or albuminuria is considered to be of origin other than DKD.
3. History of renal transplant and/or plan to undergo a renal transplant during the study.
4. History of acute kidney injury or renal dialysis.
5. Subject with uncontrolled blood pressure.
6. Subject taking immunosuppressant.
7. Subject with known or suspected hypersensitivity to any components of the APX-115 formulation.
8. Clinically significant abnormal laboratory findings at screening.
9. History of drug or alcohol abuse within 1 year prior to screening.
10. History of any cardiovascular event or cardiovascular procedure planned during the clinical study.
11. Current or history of New York Heart Association class III or IV heart failure.
12. Clinically significant electrocardiogram (ECG) abnormalities.
13. Known significant liver disease.
14. Subject with active urinary tract infection or has not fully recovered before randomization.
15. History of malignancy within 5 years prior to screening.
16. Administration of any investigational product.
17. Major surgery within 28 days or not fully recovered surgery prior to randomization or major surgery planned during the next 6 months.
18. Positive hepatitis B surface antigen.
19. Female subject who is pregnant or breastfeeding.
20. Other medical history which in the opinion of the Investigator would make the subject unsuitable for participation in the study.
21. Subject who, in the judgment of the Investigator, is likely to be non-compliant or uncooperative during the study or unable to cooperate because of a language problem or poor mental status.
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aptabio Therapeutics, Inc.

INDIV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Korea University Ansan Hospital

Ansan-si, , South Korea

Site Status RECRUITING

Inje university Busan Paik Hospital

Busan, , South Korea

Site Status NOT_YET_RECRUITING

Pusan National University Hospital

Busan, , South Korea

Site Status RECRUITING

SoonChunHyang University Hospital Cheonan

Cheonan, , South Korea

Site Status RECRUITING

Keimyung University Daegu Dongsan Hospital

Daegu, , South Korea

Site Status RECRUITING

Inje university Ilsan Paik Hospital

Goyang-si, , South Korea

Site Status RECRUITING

Hanyang University Guri Hospital

Guri-si, , South Korea

Site Status RECRUITING

Chung-Ang University Gwangmyeong Hospital

Gwangmyeong, , South Korea

Site Status RECRUITING

The Catholic University of Korea Incheon St. Mary's Hospital

Incheon, , South Korea

Site Status RECRUITING

Jeonbuk National University Hospital

Jeonju, , South Korea

Site Status NOT_YET_RECRUITING

CHA Bundang Medical Center

Seongnam-si, , South Korea

Site Status RECRUITING

Boramae Medical Center

Seoul, , South Korea

Site Status RECRUITING

Korea University Guro Hospital

Seoul, , South Korea

Site Status RECRUITING

Kyung Hee University Hospital at Gangdon

Seoul, , South Korea

Site Status RECRUITING

Seoul National University Hospital

Seoul, , South Korea

Site Status RECRUITING

Severance Hospital

Seoul, , South Korea

Site Status RECRUITING

The Catholic University of Korea Seoul ST.MARY'S Hospital

Seoul, , South Korea

Site Status RECRUITING

The Catholic University of Korea Uijeongbu St. Mary's Hospital

Uijeongbu-si, , South Korea

Site Status RECRUITING

Wonju Severance Christian Hospital

Wŏnju, , South Korea

Site Status NOT_YET_RECRUITING

Pusan National University Yangsan Hospital

Yangsan, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Sung Jun Lim

Role: CONTACT

+82-31-365-3693

Facility Contacts

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Jin-Joo Cha

Role: primary

Taehee Kim

Role: primary

Sang Heon Song

Role: primary

EunYoung Lee

Role: primary

Seung-Yeup Han

Role: primary

Sang Youb Han

Role: primary

Sang-Woong Han

Role: primary

Su-Hyun Kim

Role: primary

Seok Joon Shin

Role: primary

Won Kim

Role: primary

So-Young Lee

Role: primary

Jung-Pyo Lee

Role: primary

Gang-jee Ko

Role: primary

Ju-Young Moon

Role: primary

Seung Seok Han

Role: primary

Tae-Hyun Yoo

Role: primary

Yaeni Kim

Role: primary

Sun-Ae Yoon

Role: primary

Byoung Geun Han

Role: primary

Seo Rin Kim

Role: primary

Other Identifiers

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APX-115-05

Identifier Type: -

Identifier Source: org_study_id

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